Type 2 & other diabetes

Plant-Based Dietary Patterns Associated With Reduced Risk of All-Cause Mortality in Diabetes Subgroups: A Prospective Cohort Study From the UK Biobank

Diabetes CarePublished Prospective cohort study

Authors' conclusion

Higher PDI adherence was associated with decreased mortality risk and higher unhealthy PDI adherence with an increased mortality risk. There was an indication for differences in these association depending on diabetes subgroups.

Study context

Population
UK Biobank participants with T2D and at least two 24-h dietary recalls679 deaths
Participants
4,829 participants
Exposure
Highest (T3) vs lowest (T1) tertile of adherence to PDI, healthy PDI and unhealthy PDI
Outcome
All-cause mortality
Follow-up
Mean 11.3 years
Methodological detailsUK Biobank, multivariable Cox regression
  • UK Biobank
  • Multivariable Cox regression

Main finding

As reported in the abstract

T3 vs T1Hazard ratio (95% CI)
PDI
0.79(0.63–0.99)
Healthy PDI; 95% CI included the null value
0.82(0.67–1.02)
Unhealthy PDI
1.24(1.00–1.54)

Observational data: associations, not effects.

Further findings

Interaction with diabetes subgroups (HbA1c, waist circumference, age at diagnosis, diabetes duration)

Associations of PDI, healthy PDI and unhealthy PDI with mortality more pronounced with poorer glycaemic control, higher waist circumference, earlier diagnosis and longer diabetes duration

Original publication

Plant-Based Dietary Patterns Associated With Reduced Risk of All-Cause Mortality in Diabetes Subgroups: A Prospective Cohort Study From the UK Biobank. Diabetes Care. Published 28 August 2025. doi:10.2337/dc25-0344

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